HomeMy WebLinkAboutBuilding Permit Application 10/06/2015 13:34 7724662417 SEACOAST SHEET METAL PAGE 01
1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �j
Date: �la�• Permit Number:- - 161 D LOgj
Buildiln Permit A licati P--
pp
ECEIVE
OCT � 6 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia,Avenue,Fort Pierce FL 34,982
Phone:(772)4'62-1553 Pax:(772)462-1579 Commercial B iI
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
IMPRoV"'E""ME, k ..r.: . �r-1! •.•'_ - '..i
Ei�;T 'OCATf'�7
Address: y7Q7 IFglie _ Da"
Legal Description:
Property Tax ID : 131 -e I'oqy CL-0- _ - Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
ET
D AIL ED'DE'SCRIF `CON,n. :llU.l I�
GOf� U.CTION
i nalworkto a performedd under is permit—c ec al t appy:
HVAC Gas Tank DGas Piping _Shutters E]Windows/Doors
11 Electric Q Plumbing ❑Sprinklers 11 Generator �Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ Utilitles:cnSewer Septic Building Height:
. ' .N'ER,LE55E
Name Elrr7ab,PA lkn ___ Name: JOHN V LANGEL
Address: a7 in .S� Company: SEACOAST A/C
City: w I3,0et State:AV Address: 26011NDUSTRIAL_AVE3
Zip Code:Qa=kFax: City: FT PIERCE State:FL
Phone No. .?�' 37� '"f°/62 zip Code: 34946 Fax:_466-3053
E-Mail: Phone No. 466-2400
Fill in fee simple Title Holder on next page(if different E-Mail. TLSF=ACOASTAIR c@AOL.COM
from the Owner listed above) State or County License: CAC016446
if value of construction is$2500 or more,a RECORDED Notice of Commencement i$required.
10/06/2015 13:34 7724662417 SEACOAST SHEET METAL PAGE 02
sUPPL:E11/1ETdTAL.CONS,TRi4J.,CTCQN k.IEN LAW IIVFORNIATI.O'N
:•
: . . ,
DESIGNER/ENGINEER: __Not Applicable MORTGAGE COMPANY: _^ Not Applicable
Name: Name:
Add ress: Ad d ress.
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: �• Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit_
St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie county Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Y r failure to Record a Notice of Commencement may re It in yo r paying twice for
improvements to your p perry.A Notice of Commencement must be recor d and p ted on the jobsite
before the first inspect' n. If you i end to obtain financing,consult with le er or a ttorne before
commencing work or cordi ur Notice of Commencement.
s
_Signature of Ow A W7
r/Lessee/Age Signature ;rtractor/Ince a Holde
STATE OF FL IDA STATE ORIDA
COUNTY OFSTLuciE COUNTY OF sTLUcir
The far oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of QGrF 20 j�Uy this day of p<F 20 1S by
JOHN V LANGELl JOHN V LANGEL
(Na of pe n ac owle ing} (Na pars cknow ging
naawon
tary Pu=ntificatlon
) nPentification
u ic• f Florida)
Person x Pcrso win x Produced Identification
Type of Identification Produced Type Produced
Commission No. (seal) Commission No. (Seal)
Revised 07(151201 • r�., KAY L M4113Ei- [...........r� "q°� � ���Cy
�, �..... ., TRACY czjnN#FF14eo72 ;,, KAY LARfG!~L
,.• ust 30,aa� A
asoREVIEWSFRO °*,� ;: i i REs al a PLAN5 ti 1pll� �,13�01a ANGROVE
COU T jas di 12"! ° REVIEW FIor:CiN° cpm REVIEW
DATE
COMPLETE
INITIALS